Lateral elbow tendinopathy: surgery versus extracorporeal shock wave therapy

被引:10
作者
Defoort, S. [1 ]
De Smet, L. [1 ]
Brys, P. [2 ]
Peers, K. [3 ]
Degreef, I [1 ]
机构
[1] KU Leuven Univ Leuven, Leuven Univ Hosp, Orthoped Surg Dept, Hand Unit, Herestr 49, B-3000 Leuven, Belgium
[2] KU Leuven Univ Leuven, Leuven Univ Hosp, Dept Radiol, Herestr 49, B-3000 Leuven, Belgium
[3] KU Leuven Univ Leuven, Leuven Univ Hosp, Dept Phys Med & Rehabil, Herestr 49, B-3000 Leuven, Belgium
关键词
Tennis elbow; Surgery; ESWT; Lateral epicondylitis; Tendinosis; CARPI RADIALIS BREVIS; TENNIS ELBOW; SURGICAL-TREATMENT; EXTENSOR ORIGIN; EPICONDYLITIS; TENDINITIS; RELEASE; COMMON;
D O I
10.1016/j.hansur.2020.12.008
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Lateral elbow pain caused by tendinopathy - tendinosis - or tennis elbow is a highly prevalent problem. Unfortunately, no treatment method can guarantee clinical success. Inspired by the lithotripsy technique used for kidney stones, extracorporeal shock wave therapy (ESWT) has been introduced as an alternative to surgical treatment 25 years ago. In a randomized prospective study, we compared 15 patients with lateral elbow tendinopathy who were operated and 14 who underwent ESWT. Almost all patients had good or excellent outcomes according to the criteria by Verhaar. Subjective improvement was 57% for the ESWT group and 76% for the surgery group. No significant differences between both groups were found (p = 0.07). We therefore recommend considering non-invasive techniques such as ESWT treatment prior to surgery in tennis elbow. (C) 2021 SFCM. Published by Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:263 / 267
页数:5
相关论文
共 35 条
[1]  
Alnot J Y, 1993, Ann Chir Main Memb Super, V12, P5, DOI 10.1016/S0753-9053(05)80255-8
[2]   Ultrasonography versus magnetic resonance imaging in detecting and grading common extensor tendon tear in chronic lateral epicondylitis [J].
Bachta, Artur ;
Rowicki, Krzysztof ;
Kisiel, Bartlomiej ;
Zabicka, Magdalena ;
Elert-Kopec, Sylwia ;
Plominski, Janusz ;
Tlustochowicz, Witold ;
Maliborski, Artur .
PLOS ONE, 2017, 12 (07)
[3]   Day-case simple extensor origin release for tennis elbow [J].
Bankes, MJK ;
Jessop, JH .
ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, 1998, 117 (4-5) :250-251
[4]   Surgery for lateral elbow pain [J].
Buchbinder, R. ;
Johnston, R., V ;
Barnsley, L. ;
Assendelft, W. J. J. ;
Bell, S. N. ;
Smidt, N. .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2011, (03)
[5]   Sonographic examination of lateral epicondylitis [J].
Connell, D ;
Burke, F ;
Coombes, P ;
McNealy, S ;
Freeman, D ;
Pryde, D ;
Hoy, G .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2001, 176 (03) :777-782
[6]   A prospective, randomised study to compare extracorporeal shock-wave therapy and injection of steroid for the treatment of tennis elbow [J].
Crowther, MAA ;
Bannister, GC ;
Huma, H ;
Rooker, GD .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2002, 84B (05) :678-683
[7]   Lateral Epicondylitis and Physical Exposure at Work? A Review of Prospective Studies and Meta-Analysis [J].
Descatha, Alexis ;
Albo, Francesco ;
Leclerc, Annette ;
Carton, Matthieu ;
Godeau, Diane ;
Roquelaure, Yves ;
Petit, Audrey ;
Aublet-Cuvelier, Agnes .
ARTHRITIS CARE & RESEARCH, 2016, 68 (11) :1681-1687
[8]  
European Society Musculoskeletal Shockwave Therapy, DIGEST GUID EXTR SHO
[9]  
GOLDBERG EJ, 1988, CLIN ORTHOP RELAT R, P208
[10]  
Grundberg AB, 2000, CLIN ORTHOP RELAT R, P137